Individual provider Active NPI

Sara Giovanna Carr, M.A. PSYCHOLOGY LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1821461138
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
99196 Issued in CA
Practice address
2440 3Rd Ave
San Diego, CA 92101-1516
Phone
(619) 702-4186
Fax
(619) 702-5924
NPI assigned
Nov 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 99196 CA Primary

Addresses

Primary practice location

2440 3Rd Ave
San Diego, CA 92101-1516

Mailing address

2440 3Rd Ave
San Diego, CA 92101-1516
Phone (619) 702-4186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
99196CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Christie'S Place, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503532800000",
    "number": "1821461138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011516",
            "telephone_number": "619-702-4186",
            "fax_number": "619-702-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011516",
            "telephone_number": "619-702-4186",
            "fax_number": "619-702-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "SARA",
        "middle_name": "GIOVANNA",
        "credential": "M.A. PSYCHOLOGY LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2017-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "99196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.